The Rising Tide Lifts all Boats

EHC is pleased to announce the publication of the Procurement of Affordable Replacement Therapies – Network of European Relevant Stakeholders (PARTNERS) programme progress report, year 1 (2018). A real partnership initiative, this programme is an innovative approach to the sustainable procurement of treatment products for haemophilia A and haemophilia B in select countries meeting EHC specified criteria and located both inside and outside of the European Union.

Download the report.


PARTNERS is a bold and visionary programme. Its ambition is to incentivize, enable and sustain better national haemophilia decision-making systems by changing relationship systems and creating new channels towards joint decision-making.

About this report

In this one-year report, we capture the progress-made to-date with a data visualization tool of moving water to illustrate the gulf that needs to be filled between where PARTNERS countries begin, where they need to go1 2, and how PARTNERS is working to get them there. To put this into context, the national allotted amount for a child (<18) with haemophilia in a PARTNERS phase 1 country for one year is equivalent to what an infant (0-4) in a Western European countries might use in one month. The visualized water stream(s) also indicates the staged, staggered yet flexible approach in which PARTNERS aims to do this, and illustrates our efforts to build new channels, or redirect existing ones, to raise the national tide that will lift all patients towards European standards of treatment and care.

Achievements to-date

One year in, the greatest success of PARTNERS is the mind-shift that it created. This allowed us to establish dialogue and build relationships (and some trust) in all phase 1 and 2 countries. We report a behavioural shift in most phase 1 and 2 countries, with high willingness to innovate and new relationship channels being opened or existing ones improved. From these have flowed: patient representatives previously trained by the EHC on economics, tenders and procurement, now putting these skills to use; patient representatives having their first conversations with governments over involvement in national decision-making; patient representatives contributing for the first time to considerations of other criteria in national tenders, not just price; and clinicians being trained on planning for better treatment. We have also seen down-stream effects, triggering the possibility of reviewing national treatment guidelines, establishing national registries, building ‘track and trace systems’ and ensuring better continuity of supply. There is much work ahead, but with the pull of a strong, foundational current, we head into year two confident that: The patient whom we met this year in a PARTNERS phase 2 country, who went to the hospital with a headache and slipped into a coma because the country was not currently in a procurement cycle, might be the last patient we lose in Europe to red tape and bad planning.

For additional information, contact EHC PARTNERS Project Consultant Declan Noone